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IMAGES IN CLINICAL PRACTICE
Year : 2015  |  Volume : 1  |  Issue : 1  |  Page : 44

Blood Clot in Left Main Bronchus: A Treatable Cause of Left Lung Collapse


Department of Internal and Pulmonary Medicine, Maulana Azad Medical College and Lok Nayak Hospital, University of Delhi, New Delhi, India

Date of Web Publication27-Jan-2015

Correspondence Address:
Dr. Harmanjit Singh Hira
House 06, Type VI, MAM College Campus, New Delhi - 110 002
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/2394-7438.150064

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How to cite this article:
Hira HS. Blood Clot in Left Main Bronchus: A Treatable Cause of Left Lung Collapse. MAMC J Med Sci 2015;1:44

How to cite this URL:
Hira HS. Blood Clot in Left Main Bronchus: A Treatable Cause of Left Lung Collapse. MAMC J Med Sci [serial online] 2015 [cited 2019 Oct 18];1:44. Available from: http://www.mamcjms.in/text.asp?2015/1/1/44/150064

A 22-year-old man was hospitalized following a single episode of significant hemoptysis. Next day, he developed shortness of breath. Collapse of the left lung was diagnosed clinically and radiologically [Figure 1]. Ventilatory impairment resulted in decrease in arterial oxygen tension to critically low levels, and arterial oxygen saturation to 82%. A blood clot (marked as green star) was visualized blocking the left main bronchus [Figure 2] by fiberoptic bronchoscopy. Clot was anchored to the posterior wall near the origin of the bronchus (marked as violet coloured star). Blood clot was broken and fragmented by biopsy forceps and small pieces of clot were aspirated. He also expectorated the clots during next 48 h after bronchoscopy. Collapse of the left lung reversed to normal [Figure 3]. Blood oxygenation also normalized. Bronchoscopy on 5 th day showed no clot and lumina of both left main and upper lobe bronchi [Figure 4] were normal.
Figure 1: Chest skiagram revealing the collapse of the left lung

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Figure 2: Bronchoscopic picture of a blood clot (marked as green star) blocking the left main bronchus which was anchored to the posterior wall near the origin of left main bronchus (marked as violet star)

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Figure 3: Chest skiagram revealed normal left lung after removal of clot from left main bronchus

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Figure 4: Showed no clot was present and left main bronchus was normal visualised by bronchoscopy

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    Figures

  [Figure 1], [Figure 2], [Figure 3], [Figure 4]



 

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